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1083370704
KRISTYN ANN FAIRCLOTH
LAKE CITY, FL
NPI
1083370704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 18824)
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
KRISTYN ANN FAIRCLOTH LCSW
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025-2013
Phone number: 386-292-7198
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Mailing Address
KRISTYN ANN FAIRCLOTH LCSW
216 SE CORRECTIONS WAY
LAKE CITY, FL 32025-2013
Phone number: 386-292-7198
Copy
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